Encourage
home HR
monitoring
Use ambulatory
monitoring for
clinical high
HR readings.
Increase physical
activity.
Stop smoking,
limit alcohol
and caffeine.
Adopt a heart-
healthy diet.
Add ivabradine
if HR
persists,
especially in
HF or CAD.
bpm
>70
Consider beta-1
blockers for HR
reduce HR
by~
10 bpm
bpm
>80–85
Adjust therapy
based on
response and
comorbidities.
Regularly assess
HR/BP and watch
for bradycardia.
Aim for HR
<70
bpm
in hypertension.
In HF/CAD,
target
<65
bpm
for better
outcomes.
A ≥10
bpm
reduction may
be beneficial.
Address
underlying
conditions like
hyperthyroidism
or anemia.
Step-by-Step Approach to Managing Elevated Heart Rate (HR).
This figure will outline a systematic approach to managing elevated HR, including assessment, lifestyle
modifications, pharmacological interventions, monitoring, and follow-up strategies.
Implementing lifestyle changes and appropriate pharmacological treatments to manage
elevated HR is essential for improving patient outcomes in cardiovascular care.
1 Dalal J, Dasbiswas A, Sathyamurthy I, Maddury SR, Kerkar P, Bansal S, Thomas J, Mandal SC, Mookerjee S, Natarajan S, Kumar V,
Chandra N, Khan A,
Vijayakumar R, Sawhney JPS. Heart Rate in Hypertension: Review and Expert Opinion. Int J Hypertens. 2019 Feb 19;2019:2087064. d
oi:
10.1155/2019/2087064. PMID: 30915238; PMCID: PMC6399539.